Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.98 / $1,244.98 / $1,244.98	Professional		$1,244.98	$1,244.98	$1,244.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.90 / $1,554.90 / $1,595.51	Professional		$1,554.90	$1,554.90	$1,595.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,686.36 / $1,845.53 / $2,281.54	Professional		$1,686.36	$1,845.53	$2,281.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.31 / $1,492.70 / $1,741.49	Professional		$1,368.31	$1,492.70	$1,741.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.80 / $1,554.90 / $2,049.44	Professional		$1,268.80	$1,554.90	$2,049.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,485.77 / $2,145.39	Professional		$29.27	$1,485.77	$2,145.39